83nd Senior (Men), 41th Junior ( Boys) , 12th Sub Junior (Boys), 25th Senior (Women) & 9th Junior &2nd Sub Junior (Girls)“MANISHA” National Billiards & Snooker Championships 2016 from 12th Jan to 31th Jan 2016 at The Emerald Heights International School, A.B. Road, Indore (MP). Entry Form Entry Closes on: 12TH December, 2015 Entry fee Men: Senior Junior Sub Junior : Rs.1000/- per event per player : Rs. 500/- per event per player : Rs. 300/- per event per player Ladies: Senior Junior & Sub Junior : Rs.500/- per event per player : Rs.300/- per event per player Venue: The Emerald Height International School A.B. Road Indore (MP) Entries to be sent to: Mr. Bholu Mehta President Madhya Pradesh Billiards & Snooker Association, JAWAHARLAL NEHRU STADIUM, OPPOSITE M. Y. HOSPITAL, A.B. ROAD, INDORE-452001 (MP) Ph. 0731-2705558, 2722670 Mob: +91 9826049027 Please accept the entry/entries mentioned below for the said Championship. A sum of Rs. _______________towards entry fee is sent herewith. Entry fee to be paid in the form of Demand Draft drawn in favor of “M. P. BILLIARDS & SNOOKER ASSOCIATION,” payable at par at Indore (MP). OR Bank transfer/ Account transfer as per following detail (pl attach copy of the bank payment slip) Bank: Bank of India. Bank IFSC Code No: BKID0008801 E-mail: bholumehta@bsfi.net Bank account no: 880110110002304 We hereby declare that our nominee/s is/are player/players in accordance with the definition adopted by the Billiards & Snooker Federation of India. Name of the Players (Men) Senior Billiards Senior Snooker 1. 1. 2. 2. 3. (Direct) 3. (Direct) 4._________________ (Direct) 4.________________ (Direct) Junior Billiards Junior Snooker 1. 1. 2. 2. 3. 3. Sub. Junior Billiards Sub. Junior Snooker 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. Name of the Players (Ladies) Senior Billiards Senior Snooker 1. ___________________ 1. ____________________ 2. ___________________ 2. ____________________ Junior Billiards Junior Snooker 1. ___________________ 1. ____________________ 2. ___________________ 2. ____________________ Sub.Junior Billiards Sub. Junior Snooker 1. ___________________ 1. ____________________ 2. ___________________ 2. ____________________ Entry Form For Qualifying Entry fee: Seniors: Rs.1000/-, Juniors: Rs.500/- per event per player Senior Billiards Senior Snooker 1. 1. 2. _______ 2. 3. ________ 3. 4. __________ 4. 5. _________ 5. 6. 6. 7. 7. 8. 8. 9. 9. 10. 10. Junior Billiards Junior Snooker 1. 1. 2. _______ 2. 3. ________ 3. 4. __________ 4. 5. _________ 5. Name of the Association: ______________________________________________ For any Queries regarding Entry, please contact Sh. Bholu Mehta, Mob: 09826049027 Authorized signature & rubber stamp of the affiliated unit/association of BSFI All Juniors & Sub-Juniors entries should be accompanied with Proof of age certificate. The age of juniors should be below the age of 21 and the age of Sub junior should be below the age of 18 as on 31st December 2015. In other words only players born in the year 1995 or onwards are eligible to participate in the U-21 event and players born in the year 1998 or onwards are eligible to participate in the U-18 event. Only BSFI accredited players shall be allowed to participate in the Indian National Championship. Entries will be accepted only through respective State Associations